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Diane Klein Application PackageKlein Diane Last Name First Name Middle Initial 765 South Shore Dr Miami Beach Home Address City Fl 33141 State Zip Code 305-905-2241 HomeWork kdiane@nova.edu Email AddressCellular Davie Business Address 3301 College Ave City FL State 33141 Zip Code Nova Southeastern University Occupation:Business Name: Adminstrator Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the City Clerk’s Office. (Regular Boards of City) Choice 1: Choice 2: Choice 3: Normandy Shores Local Government Neighborhood Improvement Ad Hoc North Beach CRA Advisory Committee Miami Beach Commission For Women BOARD AND COMMITTEE APPLICATION FORM Note:If applying for the At-Large position of the Historic Preservation Board, please answer the below questions: Have you ever resided in one of the City's Historic Districts for at least one year?No No Address in City Historic District submitted. Professional License No Professional Licenses Submitted. Note:If you are seeking appointment to a professional seat (e.g. attorney, architect, etc.), you must attach a copy of your currently effective corresponding professional license. Pursuant to City Code section 2-22(4) a, b and c: Members of Agencies, Boards, and Committees shall be affiliated with the city. This requirement shall be fulfilled in the following ways: YesResident of the City for a minimum of six (6) months: Demonstrate an ownership interest in a business established in the City for a minimum of six (6) months:No AFFILIATION WITH THE CITY OF MIAMI BEACH a. ● I am resident of:N/A Or b. "Ownership Interest" shall mean the ownership of ten percent (10%) or more (including the ownership of 10% or more of the outstanding capital stock) in a business. "Business" shall mean any sole proprietorship, sponsorship, corporation, limited liability company, or other entity or business association. c.Full-time employee of such a business (for a minimum of six months); and I am based in an office or other location of the business that is physically located in Miami Beach (for a minimum of six months):No Notwithstanding the requirements set forth herein, the qualified full-time employee of a business must be approved by a 4/7th vote of the Mayor and City Commission. NOTE: Members of Agencies, Boards, and Committees shall be required to demonstrate compliance with the City affiliation requirements of section 2-22 (4) a and b of the Miami Beach City Code by executing an affidavit, stipulating that they have met either (or both) of said affiliation requirements. The original affidavit shall be filled with the Office of the City Clerk prior to being sworn in as a member. Or No● Have you ever been convicted of a felony:If yes, please explain in detail: ● Do you currently have a violation(s) of City of Miami Beach codes:No If yes, please explain in detail: ● Do you currently owe the City of Miami Beach any money:No If yes, please explain in detail: ● Are you currently serving on any City Boards or Committees:Yes If yes, which board? Normandy Shores Local Government Neighborhood Improvements ● Are you presently a registered lobbyist with the City of Miami Beach?No ● I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: Been on the Normandy Shores Home Association for 5 years and a beach resident my whole life. NOTE: IF APPOINTED, YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BOARD/COMMITTEE MEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459). o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1). o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach Code section 2-26) o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-11.1). o Sunshine Law - Florida's Government-in-the-Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding open government can be found in Chapter 286 of the Florida Statutes. These statutes establish a basic right of access to most meetings of Boards, Commissions, and other governing bodies of state and local governmental agencies or authorities. o Voting conflict - Form 8B is for use by any person serving at the county, city, or other local level of government on an appointed or elected Board, Council, Commission, Authority, or Committee. It applies equality to members of advisory and non-advisory bodies who are presented with a voting conflict of interest under Section 112.3143. Florida Statutes. ● In what organization(s) in the City of Miami Beach do you currently hold membership in? No Organization Information Submitted. ● List the address of all properties owned or in which you have an interest within the City of Miami Beach: Property 765 South Shore If so, which department and title?No● Are you now employed by the City of Miami Beach: ● Pursuant to City Code Section 2-25 (b): Do you have a parent, spouse, child, brother, or sister who is employed by the City of Miami Beach?No If "Yes", identify person(s) and department(s): No relative's information submitted. BOARD & COMMITTEE FINANCIAL ACKNOWLEDGEMENT STATEMENT Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami-Dade County Financial Disclosure Code Section 2-11.1(i)(2) I understand that no later than July 1, of each year all members of Boards and Committees of the City of Miami Beach, including those of a purely advisory nature, are required to comply with Miami-Dade County Financial Disclosure Requirements. One of the following forms must be filled with the City Clerk of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida, no later than 12:00 noon of July 1, of each year: 1. A "Source of Income Statement;" or 2. A "Statement of Financial Interests (Form 1)¹ ;" or 3. A Copy of your latest Federal Income Tax Return. Failure to file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine of no more than $500, 60 days in jail, or both. _____________________________ ¹ Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida, pursuant to F.S. §112.3145(1)(a), to file a Statement of Financial Interests (Form 1) with the Miami-Dade County Supervisor of Elections by 12:00 noon, July 1. Planning Board and Board of Adjustment members who file their Form 1 with the County Supervisor of Elections automatically satisfy the County’s financial disclosure requirement as a Miami Beach City Board/Committee member and need not file an additional form with the Office of the City Clerk. However, compliance with the County disclosure requirement does not satisfy the State requirement. DIVERSITY STATISTICS REPORT The following information is voluntary and has no bearing on your consideration for appointment. It is being asked to comply with City diversity reporting requirements. WhiteRace/Ethnic Categories What is your race? No details providedOther Description: Gender:Female Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino.No Physically Challenged:No I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION; AND I HAVE RECEIVED, READ AND WILL ABIDE BY CHAPTER 2, ARTICLE VII, OF THE MIAMI BEACH CITY CODE, ENTITLED “STANDARDS OF CONDUCT FOR CITY OFFICERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND STATUTES ACCORDINGLY.” I Diane Klein agreed to the following terms on 12/1/2022 11:16:28 AM Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date Board and Committee Application Checklist: Please ensure you have provided all information before applying or reapplying to any Board and Committee. YES YES YES YES I have answered all questions fully. I have uploaded a current resume, photograph, and a copy of any applicable professional license. I have completed and attached the Board & Committee Financial Acknowledgment Statement. I have completed and attached the Diversity Statistics Report. If you have any questions, please contact the Office of the City Clerk via email: BC@miamibeachfl.gov or telephone: 305.673.7411 Note: Florida Statutes 119.071: The role of the Office of the City Clerk is to receive and maintain forms filed as public records. If your home address, telephone numbers, and/or photograph are exempt from disclosure and you do not wish your home address, telephone numbers, and/or photograph to be made public, please: 1) Use your office or other address for your mailing address; 2) Use your office or other telephone number for your contact number; and 3) Do not attach a photograph. Diane Klein 765 South Shore Drive, Miami Beach FL 33141 (305) 905-2241 kleindiane939@gmail.com EDUCATION Masters of Science in College Student Affairs June 2008 Concentration in Conflict Resolution Nova Southeastern University, Fort Lauderdale, FL Bachelor of Science in Psychology Major: Psychology June 2006 Nova Southeastern University, Fort Lauderdale, FL PROFESSIONAL EXPERIENCE Director of Development January 2018-Present Nova Southeastern University; Fort Lauderdale, FL • Responsible for all major giving donations in a variety of areas including; Halmos College of Arts and Science, Alvin Sherman Library, Honors College and Student Affairs • Partner with deans, vice presidents and leadership in strategic efforts to advance the missions and goals of the university • Created and maintained relationships with external partners such as nonprofits government agencies, corporations to enhance fundraising efforts • Managed a portfolio of over 150 donors in a variety of giving that consist of alumni and friends of the university • Conducted 125 personal visits a year, 40 being qualification visits, attend over 100 community and university programs to engage and meet donors • Develop strategic proposals and comprehensive stewardship plans for new and existing donors • Built a qualified prospect base and engage and solicit major gift donors annually to raise over $1,000,000 annually Associate Director of Career Development March 2014-December 2017 Nova Southeastern University; Fort Lauderdale, FL • Manage all daily operations of two Career Centers which see over 1500 students and alumni a year • Oversee all daily responsibilities for Employer Relations team which consists of over 250 partnerships, 40 employer related programs per year including two major Career Fairs with over 70 employers and 500 student and alumni participants • Built relationships with over 1500 local/national/international organizations such as; DHL, Citrix, Starboard Cruises, Enterprise and City Furniture to recruit NSU student • Directly manage 2 full-time staff members; Assistant Director of Employer Relations Internships and Administrative Coordinator I and 9 students workers • Create and assist in overseeing Career Development budget of over $76,000.00 • Collect and manage sponsorship program with over $20,000.00 in donations a year • Assist in the supervision of 7 Graduate assistants in the areas of Career Advisement, Employer Relations and First Year Experience • Sit on or chair a variety of campus committees including search committees for a new hires • Collect and provide all research Employer Relations data for reporting Assistant Director of Employer Relations and Internships July 2008-March 2014 Nova Southeastern University; Fort Lauderdale, FL • Developed comprehensive and centralized internship program for university undergraduate and graduate students • Created and manage Career Developments sponsorship program and gain donations from a variety of organizations • Collaborate with Academic Advisors and Faculty to create stream line internship process for students to gain academic credit to internships • Work with over 50 employers to attend NSU Internship and Job Fair twice a year to recruit students • Established guidelines for NSU Internship Program from: Employer Contract, Evaluations and Internship Student Experience Outcomes • Visit employment and internship site locations to meet with employers and check out work environments for students • Organize a variety of internship on campus recruiting events such as; information sessions, meet and greets and networking events • Create workshops based on different internship topics such as; “Internship 101”, “How do I gain an internship”, “International Internships Search” Graduate Assistant for Housing August 2007 – May 2008 Nova Southeastern University; Fort Lauderdale, FL • Oversaw and operate the off-campus program for the Office of Residential Life and Housing • Managed the database and website for the off-campus housing program in conjunction with Off-Campus Housing 101 • Meet with students, faculty and staff to help them with their off-campus housing needs • Work and meets with local rental communities/rental companies to provide information about off-campus housing services and resources • Assist the Director of Housing with research projects about on and off-campus housing trends • Help publish the annual Off-Campus Housing Guide and all promotional items dealing with Nova Southeastern University off-campus housing program • Market and collect over $32,000 in advertising income for the Office of Residential Life and Housing • Coordinate three Off-Campus Housing Fairs, the Annual Block Painting Party, World AIDS Day, and Wall of Hate Project. Graduate Assistant for Student and Community Relations Aug. 2006 – Aug. 2007 Nova Southeastern University; Fort Lauderdale, FL • Assisted with planning, marketing, and organizing large scale campus events such as Welcome Week, Homecoming, Hollywood Squares and Life 101 on campus • Worked on special research projects for the Dean of Student Affairs regarding orientation and video kiosks on campus • Created an NSU 10% Discount Card with over 17 vendors for all NSU students • Worked with undergraduate and graduate organizations to assist them with planning there programs and developing ways to get funding Practicum Experience Center for Community Involvement Sept. 2007 – Dec. 2007 Miami-Dade College; Miami, FL • Facilitated over three service learning and community involvement programs at Miami-Dade Community College • Assisted with community outreach program to high school students in the surrounding area of Miami Dade County • Provided research for new service grant for Miami-Dade Community College • Helped with the creation of new marketing for Community Involvement Programs Office of Orientation and Commuter Services Jan. 2008-April 2008 Florida International University; Miami, FL • Facilitated and participated in training with new and returning Peer Advisors • Provided vital research for the Orientation and Commuter Service Office • Worked on planning and organizing the summer orientation • Helped with creation of new policies and procedures for Peer Advisors Memberships/Board Leadership Roles • Miami Beach Chamber Board of Governors • Education Board for Davie and Cooper City Chamber of Commerce • CASE